MEDICARE: MAGDALENA A MCNEELEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-20-44547	FL
2	103K00000X	Behavior Analyst	BEH-001446	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356824981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALENA A MCNEELEY

Provider Business Mailing Address
First Line	:	5725 E 9TH ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3218
Country	:	US
Telephone Number	:	520-820-4911
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 E SPEEDWAY BLVD STE 401
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1220
Country	:	US
Telephone Number	:	520-448-9005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2018
Last Update Date	:	06/12/2025

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Directions to “ MAGDALENA A MCNEELEY ” Practice Location

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